Problem Areas: (check all that apply)

Outside *

Roof has leaks or missing, damaged/ curling shinglesChimney has missing bricks or loose mortarGutters have missing or damaged sectionsSiding has missing or damaged sectionsPaint is peeling in some sections or has exposed wood

Electricity *

Some outlets, switches or lights do not workFuses/ circuit breakers trip often or show signs of overheating, smoke, sparking

Plumbing & Heating *

Water pipes leak/ look corroded or faucets drip or will not shut offSeptic system problem: toilets back up or leak or run after flushingHeater is old or makes noise, bad odors, some rooms are cold

Other problems *

No hot waterWindows are drafty or stuck or have broken panes or need glazing or paintingInsulation is missing or damagedBasement floor has wet spots, walls or floors have cracks, moldy smellShaky or unsafe stairsSump pump does not work